| NPI | 1427690262 |
|---|---|
| Former Name | JASMINE LANAE WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020003299) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2019000) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2022-07-13 |